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Eli's Rehab Report
Eli's Rehab Report
Eli's Rehab Report - 2008; Volume 9, Number 12
Outpatient Outlook:
Cross Your Fingers for Positive 2009 Fee Schedule Changes
Physician Quality Reporting Initiative measures get a booster shot, and the rehab communit...
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Speech-Language:
Heads Up: Swallowing Codes Take a Huge Cut
Saying goodbye to the non-physician work pool was bad news for 92610, 92611.If your facili...
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Managed Care:
Put These Medicare Advantage Changes on Your Radar
MIPPA legislation insists on contracts for certain private fee-for-services plans.The rece...
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Coding Corner:
Get Ready for Whole New Diagnosis Coding System
ICD will leap from 17,000 to 155,000 codes in 2011.Feeling confident about your diagnosis ...
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News Briefs:
Therapists Get off the DMEPOS Accreditation Hook -- for Now
If you've been sweating over the new accreditation requirements for durable medical equipm...
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News Briefs:
Miami Rehab Agency Goes Up In Smoke After OIG Audit
So much for fixing mistakes after an audit. After Ultimate Rehabilitation Agency Inc. got ...
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Reader Questions:
Non-Par Provider Status Still Has Its Catches
Question: We're a private speech-language practice that's shifted its focus to pediatrics,...
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Reader Questions:
Consider This Before Launching Wound Care Services
Question: We are thinking of providing wound care in our hospital-based outpatient therapy...
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Eli's Rehab Report - 2008; Volume 9, Number 11
Outpatient Outlook:
Part B Therapy Goes Under the Microscope With DOTPA
Rehab community brings a plethora of concerns to CMS Open Door Forum.Yearning for the day ...
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Business Strategies:
A Bleak Outlook for Rehab? You May Be in for a Surprise
Uncover these hidden opportunities to improve your inpatient -- or outpatient -- rehab bus...
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Try the FIM™ for Targeting Fall Risk -- at Admission
Rehab provider finds cognitive impairment a pivotal risk factor.A one-size-fits-all fall a...
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Business Strategies:
How to Keep a Savvy Marketing Strategy Cooking
Untapped opportunities are just beneath the surface.Whether you're in inpatient or outpati...
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Appeals:
Technical Difficulties Plague New ALJ Process
Federal watchdog takes a look at how ALJ hearings go under new rules.Whether you're an inp...
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News Briefs:
Breathe Easy: No 'Trigger' Pulled on MIPPA Legislation
You shouldn't have to face drastic proposals for Medicare cuts or therapy caps expiring an...
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News Briefs:
Congress Turns Attention to Veterans in Need of PT
Physical therapists may soon have good incentive to work for the Veterans Health Administr...
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News Briefs:
8 Functional Communication NOMS Measures Get an NQF Thumbs-Up
Speech-language pathologists are getting closer to actively participating in CMS' Physicia...
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News Briefs:
AMA Says OK to PTs and EMG
Language that once restricted physical therapists from performing electrodiagnostic servic...
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Errata
Correction 1: Regarding the Reader Question in Physical Medicine & Rehab Coding Alert,...
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Reader Questions:
PTs Lending OTs a Hand Could Spell Bad News
Question: We've had situations where our only OT on staff is out, and we have other PTs av...
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Reader Questions:
New Eval or Re-Eval? Here's How to Decide
Question: We've treated many patients with a condition that can reoccur or be exacerbate...
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Eli's Rehab Report - 2008; Volume 9, Number 10
Outpatient Outlook:
Saved by a Thread: Therapy Cap Exceptions Process Safe for Now
See what CMS has up its sleeve for long-term solutions.Good news: The therapy cap exceptio...
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SLPs in Private Practice Say Hello to Medicare Provider Status
A lucky provision in the MIPPA legislation gives SLPs the ticket.If you're a speech-langua...
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Compliance:
3 OSHA Safeguards That Most Outpatient Rehab Clinics Overlook
Owning an OSHA guidebook doesn't mean you're in OSHA compliance. Is your binder of OSHA...
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Practice Pointers:
Keep Your Compliance in Top Shape: Here's How
Clearly there's a lot to cover in OSHA compliance even in an outpatient rehab setting -- w...
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Home Health:
Get the Inside Scoop on H.R. 5794 and What It Means for OT
The Medicare Home Health Flexibility Act helps agencies, boosts OT professional integrity....
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Clinical Rehab Roundup:
Try These Exercise Combos for Trapezius Imbalances
"Rehabilitation of scapular muscle balance: which exercises to prescribe?" Cools AM, Dewit...
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News Briefs:
Audits: CMS Gets More Excited About Its RAC Program
You may have heard providers in other states lamenting about CMS' Recovery Audit Contracto...
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Inpatient Rehab:
CMS Unveils 2009 PPS for IRFs
It's that time of year again -- time for prospective payment system rules. CMS issued on J...
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Legislation:
Get Ready for Financial Relief to Higher Education
If you or your therapists provide care to children, adolescents or veterans, you're one st...
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Reader Questions:
Keep an Eye on Your Iontophoresis LCD
Question: Our Medicare fiscal intermediary has quit paying for iontophoresis. When did Med...
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Reader Questions:
Take Heed From This History Lesson on Physician Visits
Question: For outpatient physical therapy, what is the current requirement for Medicare pa...
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Eli's Rehab Report - 2008; Volume 9, Number 9
Outpatient Outlook:
Brace for Reimbursement Cuts, Therapy Caps With No Exceptions
But don't give up on petitioning your representatives.If you were hoping for an extension ...
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Qualifications:
Do You and Your Therapists Make the Grade? See What CMS Has to Say
PTs, PTAs, OTs and OTAs have a slew of new standards.You weren't alone if you worried abou...
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Acute Rehab:
3 Fresh Ways to Combat Inappropriate Rehab Referrals
Try these stellar staff education tips from this acute care facility. Word is out that...
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Billing:
Gear up for CMS' New MACs With These Expert Tips
Your carriers and FIs will soon be a thing of the past if they aren't already.You've heard...
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Clinical Rehab Roundup:
Diathermy May Not Be Your Most Cost-Effective Intervention
"An economic evaluation of three physiotherapy treatments for non-specific neck disorders ...
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News Briefs:
Take Heed When Billing Ultrasound or Wound Care With 0183T
CMS just released its latest Correct Coding Initiative (CCI) edits, Version 14.2, and a ha...
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News Briefs:
HHS Extends Help to Flood Victims in Iowa, Indiana
Medical facilities suffering from the recent floods in Iowa and Indiana have some welcome ...
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News Briefs:
Get Your Provider Data in Sync
If your business name and your legal name are not consistent, be prepared to face NPI trou...
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News Briefs:
Brace for Changes in the Appeals Process
Providers who submit claims to a Medicare fiscal intermediary will be operating under revi...
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Reader Questions:
This Just in: New Aide and Tech Restrictions Go on Hold
Question: I remember seeing in the Nov. 27, 2007 Federal Register that aides and techs in ...
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Reader Questions:
Bust Through Your Biofeedback Billing Troubles
Question: We do biofeedback in our clinic for patients with pelvic pain and urinary incont...
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Eli's Rehab Report - 2008; Volume 9, Number 8
Documentation:
Don't Just Correct -- Perfect -- What You Know About Certifications
Plus, your progress report deadlines aren't what they used to beWhen the Medicare Physicia...
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Inpatient Rehab:
Stay Tuned, Inpatient Rehab Folks
You're not off the hook with CMS transmittal 88If you provide therapy in inpatient setting...
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Speech-Language:
Good News: 'Aural Rehab' Just Got a Lot Clearer
CMS spells out the 'impairments of the auditory system' umbrellaYour Medicare contractors ...
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Compliance:
Dive Into a New Pool Rental Option for Aquatic Therapy
But don't land in hot water with your lease termsIf you've experienced confusion in the pa...
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Practice Pointers:
Make a Good First Impression to Score Long-Time Clients
Try these expert tips to make your practice shine among competitors When reimbursement...
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News Briefs:
Audits: OIG Wants Your Medicaid Billing to Get More Complicated
You could have to furnish your Medicaid program with a Medicare denial notice before recei...
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Clinical:
Get up to Date With This New Fitness Test
If you conduct adult physical fitness tests, you may want to try the newest national stand...
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State News:
Colorado OTs, Say Hello to 'OTR'
If you practice occupational therapy in Colorado, get ready to revalidate your credentials...
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Reader Questions:
Signed and Dated -- But Not Stamped, Says New CMS Policy
Question: I have a question regarding the CMS publication 100-08 released last March, whic...
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Reader Questions:
Double-Check Your Group Therapy Documentation
Question: We provide therapy services in the SNF Part A setting, and we recently had a p...
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Eli's Rehab Report - 2008; Volume 9, Number 7
Please click on the pdf to view this issue - content to follow.
...
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Outpatient Outlook:
Good News -- CMS Report Reveals Win-Win Situation for Exceptions Process
If you provide outpatient therapy, and you're not in a hospital-based setting, you're prob...
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Practice Pointers:
Turn Over a New Leaf With a Consumer-Friendly Approach
Learn creative ways to work with the latest healthcare payment environmentHigher copays, m...
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Clip and Save:
Go to Bat for Your Patients With This Handy Letter
When a patient's private (not Medicare) insurance plan says 30 therapy visits per year, th...
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Analyze This:
Your SNF's Rehab Therapy Utilization
A simple calculation can offer a wealth of information If you want to know how your SNF...
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Clinical Rehab Roundup:
Vestibular Rehab Shows Long-Term Effects
"Vestibular rehabilitation in individuals with inner-ear dysfunction: a pilot study."Entic...
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Clinical Rehab Roundup:
Adherence to Exercise Strategies Is Key
"Endurance exercise training to improve economy of movement of people with Parkinson's dis...
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News Briefs:
Legislation: New Bill Addresses PT-Oral Health Specialist Connection
Although the legislation is only in its beginning stages, a new bill hit the House of Repr...
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News Briefs:
Inpatient Rehab: Brace for Payment Decreases: Proposed IRF PPS Rule Tells All
It's that time of year again -- CMS has released its 2009 proposed changes to payment poli...
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News Briefs:
Carrier News: Hot Packs a Hot Item in Highmark's Top Denials
Want a window into a Medicare contractor's denials for rehab services? You can check out t...
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Reader Questions:
Try Coding This Tough Dx
Question: I am seeing a Medicare patient who came in with a script for the diagnosis of s/...
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Reader Questions:
Reconsider Your Definition of 'Long-Term'
Question: My team is struggling over the definition of "long-term functional goals" for th...
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Eli's Rehab Report - 2008; Volume 9, Number 6
Acute Rehab:
Inappropriate Referrals Throwing Other POCs for a Loop?
Get tips on more efficient patient screenings for therapyIf you work in an acute rehab set...
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Billing:
Heads Up: New ABN May Cut Need for NEMB
CMS' updated, revised ABN was effective March 3If you still struggle with understanding th...
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Compliance:
Are You on Your Revalidation Process Game?
Don't let these new Medicare provider requirements come as a surpriseIf you bill Medicare ...
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Practice Pointers:
Top-12 Questions to Ask When Assessing Revalidation Compliance
If your answer isn't 'yes' to these items, it's time to do some digging 1. Is the provi...
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Clinical Rehab Roundup
In this recurring feature, Physical Medicine & Rehab Coding Alert provides summaries o...
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News Briefs:
CMS: Medicare Dubs NGS Newest MAC
If you're providing rehab services in Connecticut or New York, be prepared to send your Me...
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News Briefs:
Lobbying: Fall Prevention Gets National Attention
Medical and eldercare policy groups are putting pressure on Congress to fund fall-preventi...
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News Briefs:
Speech-Language: Premera Blue Cross Says OK to SGDs
Good news for speech-language pathologists using private health plan Premera Blue Cross:...
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Reader Questions:
Give Re-Cert Periods an Efficient Edge
Question: Is it OK to re-evaluate a patient or perform a progress note at the sixth visit ...
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Reader Questions:
Is Your Daily Documentation Enough? Beware the Treatment Grid
Question: I work in a SNF and have a question regarding our Med B patients. How often ar...
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Eli's Rehab Report - 2008; Volume 9, Number 5
Practice Pointers:
Patients Getting Bored? Give the Wii a Whirl
But be sure to tread carefully in billing territoryAre you up on the latest rehab trend hi...
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Trends:
3 Good Reasons to Invest in a Wii
See why nabbing the device is a good deal for you and your patientsSo you've heard the hyp...
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Reimbursement:
Expect Detours on the Road to NPI-Only Claims
Tip: Take stock of your enrollment status nowGear up for a rough transition to NPI-only cl...
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SNFs:
Use MDS to Put Documentation, Rehab Outcomes On Track
Find missed care opportunities, unexpected decline, inconsistenciesIf your fiscal intermed...
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News Briefs:
Therapists See Progress With Loan-Repayment Bill
You may have heard talk of a federal student loan- repayment program for professions of "n...
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News Briefs:
CMS Proposes Payment Boost for LTCHs
If you work in a long-term care hospital (LTCH), your Medicare reimbursement will increase...
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News Briefs:
CARF Updates Medical Rehabilitation Standards Manual
The Commission on Accreditation of Rehabilitation Facilities recently announced major revi...
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Reader Questions:
Initial Eval or Re-Eval? That Is the Question When You Change Settings
Question: My staff works in a hospital-based outpatient facility. We also work for our hos...
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Reader Questions:
Tread Carefully With Non-FDA-Approved Devices
Question: I have a question regarding investigative studies: If a physician's office is us...
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Eli's Rehab Report - 2008; Volume 9, Number 4
Outpatient Outlook:
Pay Attention to PQRI: You Have New Reportable Measures This Year
See why even those ineligible to report quality measures should still be keeping track ...
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Clip and Save:
Get All Your PQRI Ducks in a Row With This Chart
Don't leave any stone unturned when it comes to receiving the bonusRefer to this handy cha...
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Compliance:
Sharpen Your Stark Law Knowledge: Part 2
Learn the new twists on gifts, amending agreements, and more As you may be well aware,...
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Compliance:
Forget Your John Hancock and You Could Be Out Thousands
OIG audit shows that one therapist's mistakes will cost him over $280,000You've met with t...
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Clinical Rehab Roundup
Try Aerobic Exercise for Treating Fibromyalgia"Exercise for treating fibromyalgia syndrome...
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News Briefs:
CMS Offers More NPI Grace
If you're having trouble getting your referring physicians' National Provider Identifier (...
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News Briefs:
Don't Brush Off Cognitive Training Too Soon
Occupational therapists and speechlanguage pathologists may be interested in a new study t...
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News Briefs:
Palmetto Updates SLP and OT LCD
Regional home health intermediary Palmetto GBA has revised its Local Coverage Determinatio...
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Reader Questions:
Tackle Tricky Billing Issues for Running Injuries
Question: I work in an outpatient sports medicine and dance rehabilitation facility. We'...
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Reader Questions:
Determine State Scope of Practice for Assistant Documentation
Question: What is the level of medical record documentation assistants can perform in an i...
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Eli's Rehab Report - 2008; Volume 9, Number 3
Reimbursement:
Rehab Providers Get Holiday Wish With Last-Minute 2008 Policy Changes
The catch: You'll still need another fix mid-yearIf you were holding your breath for a Med...
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Coding Corner:
Get Ready to Report Online and Phone Time With Patients
CPT 2008 releases telephone and online codes -- and rehab providers can bill them It m...
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Clip and Save:
Handy At-a-Glance Guide to CPT Coding Updates
Highlight these new codes in your 2008 CPT book...
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Compliance:
Sharpen Your Stark Law Knowledge, Part 1
Navigate part III of the Stark saga with these expert tips If anything in the healthca...
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Home Health:
Tighten Your Therapy Documentation Under PPS Refinements
See how a 5-visit denial in the new PPS can cost you $1,116 One sloppy record entry co...
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News Briefs:
PMDs: Therapists Win Victory in Power-Wheelchair Arena
For a couple of years now, a sticky provision has existed in all durable medical equipment...
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Billing:
Your Medicare Payer May Want an ABN for Acupuncture Services
If you offer acupuncture services in your clinic and treat Medicare patients, take note. E...
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Research:
Don't Brush Off Cognitive Training Too Soon
Occupational therapists and speech-language pathologists may be interested in a new study ...
Read more
Appeals:
Medicare Makes Slight Tweaks to Appeals Policy
If you plan to take an appeal to the Administrative Law Judge or judicial review level, do...
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Reader Questions:
Play It Safe With Assistants and New Team Conference Codes
Question: In the last issue of Physical Medicine & Rehab Coding Alert, I read about th...
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Reader Questions:
Watch What You Say on the Telephone
Question: I'm happy to see that we have new codes for telephone and online services (98966...
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Eli's Rehab Report - 2008; Volume 9, Number 2
Rehab Providers Face a Rocky 2008 -- if Congress Doesn't Take Action
Important: Take a long, hard look at your professional requirements There's a lot in stor...
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Coding Corner:
Say Hello to New Rehab CPTs for 2008
Take note: Medicare will not reimburse all of them After an uneventful 2007 for new CPT c...
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Medicare:
New Physician Fee Schedule Cracks Down on CORFs
Consider these 3 major compliance checkpoints The 2008 Medicare Physician fee schedule ...
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Practice Pointers:
Shop Smart -- Gather Crucial Info From Vendors, Customers
Look for these key features in your software test drive In the last issue of Physical Med...
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Compliance:
The Slightest Mistake Could Land You a False-Claims Label
Physiotherapy speaks up about $16.6 million settlement If you haven't conducted an intern...
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News Briefs:
Billing--Duplicate Claims Top TrailBlazer's Error List
You may be able to slow your denial volume by simply checking your claim status. TrailBlaz...
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News Briefs:
Inpatient Rehab--Group Therapy in IRFs Here to Stay
Inpatient rehabilitation facilities with National Government Services Inc. as their Medica...
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News Briefs:
Billing--New NPI Deadlines Fast Approach
In the hubbub over the physician fee schedule, PPS changes and therapy cap drama, don't fo...
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Reader Questions:
HCPCS or CPT? Find Out What G0129 Can Do
Question: Someone recently pointed out to me HCPCS code G0129 (Occupational therapy requi...
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Reader Questions:
Tackle Your Home Health PPS Bundling Queries
Question: We are based in a home health agency and noticed the chart in the Vol. 8, No. 1...
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Eli's Rehab Report - 2008; Volume 9, Number 1
News Flash:
New Physician Fee Schedule Rule Brings Therapy Changes for 2008
The good news: Your recertification period will soon be 90 days A whopping 1,481 pages ...
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Home Health:
Prepare for PPS 2008 Revamp With These 5 Tips
Your documentation had better be airtight In three short months, your home health agency ...
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Coding Corner:
Denials on Part B SNF Claims? It May Be a Software Oversight
Heads up, hospital rehabs: This glitch could happen to you, too The occasional Part B the...
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Regulations:
Monitor Postacute Reform With These Key Dates
Time is running out to sign on CMS has big plans for skilled nursing facilities, home hea...
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Practice Pointers:
Got the High-Tech Fever? Be Prepared to Do Some Homework
Documentation software can be your best friend -- or a thorn in your side If you've con...
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News Briefs:
Audits: OIG Announces Plans for 2008
The HHS Office of Inspector General recently released its 2008 Work Plan, and rehab servic...
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News Briefs:
Professional Standards: VA Gets Scrutinized for Outdated Physical Therapist Standards
More PTs are needed to serve aging and injured veterans, APTA says Veterans receiving phys...
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News Briefs:
Legislation: SCHIP Gets the Ax, Major Medicare Cut Looms
Rehab providers and advocates who were watching the controversial SCHIP legislation as it ...
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Reader Questions:
Watch Out -- Your LCD May Oust Physiatrists From Billing a VFSS
Question: In an inpatient hospital setting, a speech-language pathologist is performing t...
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Reader Questions:
Navigate Therapy Cap Exceptions With New ICD-9s
Question: How should I submit claims for Medicare Part B therapy cap exceptions now that ...
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